QME Latest Exam 2024/2025
__________ ________ ___ is used to combine multiple impairment ratings into a summary value or
WPI (whole person impairment - ANSWER-Combined Values Chart
______rating plus the ________ determination comprise the responsibilties of the physiican in the
process of developing a permanent disability rating for the worker - ANSWER-impairment rating plus
the apportionment
A request for QME must be submitted ______ fore represented workers an on ______ for
unrepresented workers - ANSWER-electronically for represented workers, on paper for
unrepresented workers
after injured worker selects you as QME, how many days does he have to make appointment? -
ANSWER-25-60 days. before 25 days can get medical records that quicklyi to the qme
After panel established, how many days does the injured worker (unrepresented) have to choose a
physician? - ANSWER-10 days
All QME disability evaluations for unrepresented workers are rated by ___________ - ANSWER-DEU
raters
An injured worker may not be kept waiting for more than _____ after the scheudled appointment
time - ANSWER-one hour
AOE is determined by this person ______ - ANSWER-physican
Appointment notificaiton form 110 must be sent from you to the parties within_______ of setting
the appointment. - ANSWER-5 days
Apportionment analysis requirements? - ANSWER-causation of permanent disability, give % of
apportionment and HOW and WHY you came to that number and why its medically probable
Apportionment is a legal concept that applies ONLY to ________ _________ - ANSWER-permanent
disability
as qme can you call defense attorney asking for another copy of the records? - ANSWER-NO! ex parte
communication. must clear with both parties?
As QME or AME are you involved in disputes regarding medical treatment? - ANSWER-no only
independent medical review. As QME you just make a conclusion on disability..
can an impaired inidivudal not have a disability? - ANSWER-yeah, if the loss of some of some body
part of system doesnt affect their capacity to meet personal, social, occupational demands
can apportionment be based on asymptomatic prior conditions? - ANSWER-yes
can injured worker have someone with them at exam? - ANSWER-yes they can. but attorney cant be
present during psychiatric?
can injured worker record exam - ANSWER-yes as long as both parties are aware. but you have to
agree. you can also say no and they cant
can workers receive awards that includ future medical care if they are permanent and stationary? -
ANSWER-Yes, to maintain optimum condition, relieve effects of injury, relieve the exacerbations of
the condition
, QME Latest Exam 2024/2025
Can you address need for future medical treatment in your QME report? - ANSWER-yes, but you're
not involved in current or previous treatment disputes
can you ask for IMR as PTP? - ANSWER-no only injured worker or person he designates or lawyer
can you be held for negligent acts as QME? - ANSWER-yes
can you become treating physician after qme exam? - ANSWER-yes
can you call either party after the exam? - ANSWER-no, has to be in writing. you can call the
employer solely to get the medical records
can you file psychiatric injury after termination? - ANSWER-generaly no, unless employer had notic of
it before layoff, medical records before hand, some evidence that DOI is before termination
can you use ONLY impairment rating that you got from AMA guides to decide permanent disability? -
ANSWER-NO, its jsut one component, the impairment rating isa djusted to account for workers
diminished future earning capacity
can your NP determine disability? - ANSWER-no
causation of injury vs causation of disability. which one matters? - ANSWER-causation of disability.
components of a complete report? - ANSWER-1 date of examination
2 history of injury
3 patients complaints
4 a listing of all information received
5 the patients medical history
6 findings on examination
7 diagnosis
8 opinion as to the nature, extent and duration of disability and work limitations if any
9 cause of disability
10 treatment indicated
11 opinion on permanent disability has resulted from injury and whether it is stationary
12 Apportionment of disability
13 percent of the total causation resulting from actual events of employment if the injury is alleged
to be a psychiatric injury
14 reasons for the opinion
15 signature of the physician
Do AMA guides consider work activities - ANSWER-NO, explicity only ADLs not related to work. work
activites are diverse and complex unlike ADLs which are understood by most people
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